| NPI | 1518722198 |
|---|---|
| Doing Business As | LGTC CAMBRIAN |
| Entity Type | Organization |
| Authorized Contact | EUGENE TILMAN Executive Director 408-505-1873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2024-02-14 |
| Last Update Date | 2024-02-14 |